IndividualActive
Edward Jackson, M.D.
NPI 1174506448 · Pulmonary Disease Physician · Fayetteville, AR
Provider details
- NPI number
- 1174506448
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- E-4775 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3344 N Futrall Dr
Fayetteville, AR 72703-4057
Phone: (479) 521-8200
Fax: (479) 582-7310
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1523
Fayetteville, AR 72702-1523
Registry dates
- Enumerated
- 2005-11-21
- Last updated
- 2024-03-14
- Certified
- 2024-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.